Kuyper Lisette, de Roos Simone, Iedema Jurjen, Stevens Gonneke
Department of Education, Minorities and Methodology, The Netherlands Institute for Social Research, The Hague, The Netherlands; Research Institute of Child Development and Education, Faculty of Social and Behavioral Sciences, University of Amsterdam, Amsterdam, The Netherlands.
Department of Care, Emancipation, and Time Use, The Netherlands Institute for Social Research, The Hague, The Netherlands.
J Adolesc Health. 2016 Sep;59(3):276-282. doi: 10.1016/j.jadohealth.2016.05.010. Epub 2016 Jul 14.
To assess the well-being and substance use of sexual minority adolescents growing up in a tolerant society, we examined differences among same-sex attracted (SSA), those who do not know their attraction yet (not yet attracted [NYA]), and heterosexual Dutch adolescents.
Unadjusted and adjusted logistic and linear multilevel analyses were performed using representative data of the 2013 Health Behaviour in School-Aged Children study (N = 5,995; 11-16 years old). The adjusted analyses controlled for sociodemographics (gender, age, education type, ethnicity, urbanicity, and religion).
Adjusted results showed that SSA adolescents substantially more often reported alcohol use (adjusted odds ratio [AOR] = 2.01), tobacco smoking (AOR = 2.37), and cannabis smoking (AOR = 3.52) than their heterosexual peers, while NYA participants less often reported alcohol use (AOR = .57) and equal levels of tobacco (AOR = .71) and cannabis smoking (AOR = .87) compared with heterosexual adolescents. SSA adolescents reported lower levels of life satisfaction (b = -1.25) and higher levels of psychosomatic complaints (b = .61) and emotional problems (b = 1.57) than heterosexual adolescents. NYA adolescents reported equal levels of life satisfaction (b = -.18) and psychosomatic complaints (b = .06) as heterosexual adolescents, but higher levels of emotional problems (b = .51).
In Dutch society, with over 20 years of inclusive policies for sexual minorities and generally tolerant population attitudes toward sexual minorities, SSA adolescents are still at increased risk of substance use and have lower levels of well-being compared with peers.
为评估在一个宽容社会中成长的性少数青少年的幸福感和物质使用情况，我们研究了同性吸引（SSA）青少年、那些尚未明确自身吸引力的青少年（尚未被吸引[NYA]）以及异性恋荷兰青少年之间的差异。
使用2013年学龄儿童健康行为研究的代表性数据（N = 5995；11 - 16岁）进行未调整和调整后的逻辑回归及线性多级分析。调整后的分析控制了社会人口统计学因素（性别、年龄、教育类型、种族、城市化程度和宗教）。
调整后的结果显示，与异性恋同龄人相比，SSA青少年报告饮酒（调整后的优势比[AOR] = 2.01）、吸烟（AOR = 2.37）和吸食大麻（AOR = 3.52）的频率显著更高，而NYA参与者报告饮酒（AOR = 0.57）的频率低于异性恋青少年，吸烟（AOR = 0.71）和吸食大麻（AOR = 0.87）的频率与异性恋青少年相当。与异性恋青少年相比，SSA青少年报告的生活满意度较低（b = -1.25），身心问题（b = 0.61）和情绪问题（b = 1.57）较高。NYA青少年报告的生活满意度（b = -0.18）和身心问题（b = 0.06）与异性恋青少年相当，但情绪问题较高（b = 0.51）。
在荷兰社会，尽管对性少数群体有20多年的包容性政策，且总体人口对性少数群体态度宽容，但与同龄人相比，SSA青少年仍然面临更高的物质使用风险，幸福感较低。
